Protected: Utilization Review Request

Utilization Review Request

The purpose of the WIC Utilization Review Process is to provide an assessment of the clinical appropriateness and medical necessity of Treatment Requests and Medical Services provided for accepted and delayed claims. The Utilization Review Process does not include decisions of the compensability of the injury or disease or bill review for the purpose of determining whether the Medical Services were accurately billed.

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WIC UR Referral Form